Service Description CPT Code Charge Type Speciality Practice Price
GRAFT,ASCENDING AORTA GRAFT,W BYPASS,VALVE SUSPENSION,CORONARY RECONSTRUCTION PP 33864 Prof $9757.33
GRAFT,ASCENDING AORTA,W BYPASS,INCL VALVE SUSPENSION PP 33860 Prof $7529.59
GRAFT,ASCENDING AORTA,W BYPASS,W AORTIC ROOT REPLACEMENT,CORONARY RECONSTRUCTION PP 33863 Prof $9535.84
GRAFT,BONE,ANY AREA,MAJOR/LARGE PP 20902 Prof $660.19
GRAFT,BONE,ANY AREA,MINOR/SMALL PP 20900 Prof $440.84
GRAFT,BONE,MANDIBLE PP 21215 Prof $2297.29
GRAFT,BONE,NASAL/MAXILLARY OR MALAR AREAS PP 21210 Prof $2151.77
GRAFT,COMPOSITE,PRIMARY CLOSURE,DERMA-FAT-FASCIA PP 15770 Prof $1557.92
GRAFT,DESCENDING THORACIC AORTA,W/WO BYPASS PP 33875 Prof $6451.03
GRAFT,FASCIA LATA,BY INCISION,COMPLEX PP 20922 Prof $1145.97
GRAFT,FASCIA LATA,BY STRIPPER PP 20920 Prof $907.36
GRAFT,TRANSVERSE ARCH,W BYPASS PP 33871 Prof $5902.12
GRAFTING,AUTOLOGOUS SOFT TISSUE,OTHER,HARVESTED DIRECT EXCISION PP 15769 Prof $1362.11
GRAFTING,AUTOLOGOUS,FAT HARVESTED BIPOSUCTION,TRUNK/BREASTS/SCALP/ARMS/LEGS EA ADTL 50CC INJECTATE PP 15772 Prof $403.39
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,FACE/EYELIDS/MOUTH/NECK/EARS/ORBITS/GEN/HANDS/FEET,<=25CC PP 15773 Prof $1116.28
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,FACE/EYELIDS/MOUTH/NECK/EARS/ORBITS/GEN/HANDS/FEET,EA ADTL 25CC PP 15774 Prof $313.78
GRAFTING,AUTOLOGOUS,FAT HARVESTED LIPOSUCTION,TRUNK/BREASTS/SCALP/ARMS/LEGS <=50CC INJECTATE PP 15771 Prof $1352.48
GROUP ADAPTIVE BEHAVIOR TX,PROTOCOL MODIFICATION,EA 15MIN PP 97158 Prof $180.83
GROUP ADAPTIVE BEHAVIOR TX,PROTOCOL,EA 15MIN PP 97154 Prof $180.83
GROUP COUNSELING,SUBSTANCE ABUSE,UNLICENSED PROV PP H0005 Prof $16.05
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